Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tristan T Taylor, LCSW

Individual provider Mental Health Counselor · NPI 1811624208

Tristan T Taylor, LCSW is a Clinical Social Worker in Rancho Cascades, California. Qualified in 2017, 9 years ago. Practices with Sud Specialty Group - Ca, a 499-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
9
Licensed in
CA
In the registry since
2022
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

16605 Foothill Blvd Apt 205
Rancho Cascades, CA 91342-1170
Phone: (213) 267-2537
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence LCSW109536 (CA)

Record details

NPI number1811624208
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedAugust 4, 2022
Last updated in NPPESAugust 4, 2022
Certification dateAugust 4, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Sud Specialty Group - Ca — 499 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Colleagues at Sud Specialty Group - Ca

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 499 clinicians in the practice; 12 are shown here.